Individual
DR. BRIAN P ROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5 E MAIN ST, W.BROOKFIELD, MA 01585
(508) 867-9076
(508) 765-8045
Mailing address
232 ROY RD, FISKDALE, MA 01518-1031
(508) 347-7873
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MA2375
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0304301
—
MA
Enumeration date
10/20/2006
Last updated
07/08/2007
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